Name/Title of Event *Examples-Reception to celebrate new publications; meet the author of ____; Reception to celebrate the release of ___; Cocktail reception; Author appreciation reception with refreshments-join us in celebrating our new titles. (Please limit to 2 sentences.

Name of Coordinator(s) *

Coordinator(s) Email Address *

Coordinator(s) Mobile Phone *

Relation to SCMS conference *Please keep in mind, all Exhibitor Reception Forms must be reviewed/approved by the Program Committee.